MICKEY MANGUM DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038002847

License Status

INACTIVE

Business

First Name

MICKEY

Last Name

MANGUM

Suffix

Business Name

MICKEY MANGUM DC

Original Issue Date

05/26/1960

Effective Date

05/26/1960

Expiration Date

07/31/1990

City

DESOTO

State

Zip

63020

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/21/2006